Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,630.78 / $5,495.41	Facility		$1,584.89	$3,630.78	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,513.56 / $1,905.46	Professional		$1,047.13	$1,513.56	$1,905.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $3,019.95	Professional		$1,148.15	$1,148.15	$3,019.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Professional		$3,467.37	$3,467.37	$3,467.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,754.23 / $6,918.31	Facility		$1,258.93	$2,754.23	$6,918.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $9,332.54 / $9,332.54	Professional		$1,949.84	$9,332.54	$9,332.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,235.94 / $7,413.10	Facility		$1,949.84	$3,235.94	$7,413.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,630.27 / $3,801.89	Professional		$2,041.74	$2,630.27	$3,801.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,905.46 / $3,467.37	Professional		$1,621.81	$1,905.46	$3,467.37
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,630.78 / $50,118.72	Facility		$2,511.89	$3,630.78	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,995.26	Professional		$1,949.84	$1,949.84	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,949.84 / $2,344.23	Facility		$1,737.80	$1,949.84	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,174.90 / $2,570.40	Professional		$812.83	$1,174.90	$2,570.40
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,949.84 / $2,238.72	Facility		$1,174.90	$1,949.84	$2,238.72
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,949.84 / $3,890.45	Professional		$1,621.81	$1,949.84	$3,890.45